Anest. intenziv. Med. 2012;23(4):183-187
Risks of anaesthesia in children with Angelman syndromeAnaesthesiology - Review articles
- 1 Oddělení lékařské genetiky, FN Ostrava
- 2 Klinika dětského lékařství FN Ostrava a LF Ostravské univerzity
The authors would like to make you aware of the unpredictable effects of anaesthetic agents in children with Angelman syndrome (a rare neuro-genetic disorder characterized by intellectual and developmental disability, epilepsy, sleep disturbance, seizures, jerky movements - especially hand-flapping, frequent laughter or smiling, usually a happy demeanour, microcephaly, plagiocephaly, prominent mandible, wide mouth, wide-spaced teeth, hypopigmentation, tongue thrusting, suck/swallowing disorders). Especially vagal hypertonia resulting in cardiac rhythm disturbances and asystole should be considered in the peri-operative care of these patients. Their recovery may be unpredictable and complicated.
Keywords: Angelman syndrome; anaesthetic risk; difficult airway; vagal hypertonia
Received: April 30, 2012; Accepted: June 12, 2012; Published: August 1, 2012 Show citation
References
- Firth, H. V. et al. Oxford desk reference. Clinical Genetics. 3. vyd. Oxford University Press: Oxford New York, 2009, 708 s. ISBN 978-0-19-262896-1.
- Ramanathan, K. R., Muthuswamy, D., Jenkins, B. J. Anaesthesia for Angelman syndrome. Anaesthesia, 2008, 63, s. 659-661.
Go to original source...
Go to PubMed...
- Errando, C. L. Comments on a case report of Angelman syndrome anaesthesia. Anaesthesia, 2008, 63, s. 1145-1146.
Go to original source...
Go to PubMed...
- Errando, C. L. et al. Anestesia en un caso de sindrome de Angelman. Revista Espanola de Anestesioloia y Reanimacion, 2007, 54, s. 566-569.
- Artigas-Pallare's, J. et al. Aspectos medicos y conductuales del sindrome de Angelman. Revista de Neurologia, 2005, 41, s. 649-656.
Go to original source...
- Bujok, G., Knapik, P. Angelman syndrome as a rare anaesthetic problem. Pediatric Anesthesia, 2004, 14, s. 81-83.
Go to original source...
Go to PubMed...
- Gardner, J. C. et al. Vagal hypertonia and anesthesia in Angelman syndrome. Pediatric Anesthesia, 2008, 18, s. 332-361.
Go to original source...
Go to PubMed...
- Vanagt, W. Y. et al. Asystole during outbursts of laughing in a child with Angelman syndrome. Pediatr Cardiol., 2005, 26, s. 866-868.
Go to original source...
Go to PubMed...
- Douchin, S. et al. Angelman syndrome and severe vagal hypertonia. Three pediatric case reports. Arch. Mal. Coeur. Vaiss., 2000, 93, s. 559-563.
Go to PubMed...
- Ohshita, N. et al. Anesthetic management of a child with Angelman's syndrome. Masui, 2010, 59, 4, s. 484-486.
Go to PubMed...
- Witte, W. et al. Anesthesia and Angelman syndrome. Anaesthetist, 2011, 60, 7, s. 33-40.
Go to original source...
Go to PubMed...
- Mayhew, J. F. Anesthetic management in a child with Angelman syndrome. Pediatric Anesthesia, 2010, 20, 7, p. 675-676.
Go to original source...
Go to PubMed...